Ebrima S Fatajo, DNP in Seattle, WA - Medicare Nurse Practitioner

Ebrima S Fatajo, DNP is a medicare enrolled "Nurse Practitioner" in Seattle, Washington. His current practice location is 4515 Martin Luther King Jr Way S Ste 100, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 773-1881.

Ebrima S Fatajo is licensed to practice in Washington (license number AP60869727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043778376.

Contact Information

	Ebrima S Fatajo, DNP
	4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183
	(425) 773-1881
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebrima S Fatajo
Gender	Male
Speciality	Nurse Practitioner
Location	4515 Martin Luther King Jr Way S Ste 100, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043778376
Provider Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019

Medicare PECOS Information:

PECOS PAC ID: 7719398072
Enrollment ID: I20201118001594

Medical Identifiers

Medical identifiers for Ebrima S Fatajo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043778376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP60869727 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebrima S Fatajo allows following entities to bill medicare on his behalf.

Entity Name	6m Geriatrics & Hospital Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619507662 PECOS PAC ID: 9032547344 Enrollment ID: O20200320000790

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebrima S Fatajo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebrima S Fatajo, DNP 1203 Ne 135th St Apt 303, Seattle, WA 98125-3192 Ph: (425) 773-1881	Ebrima S Fatajo, DNP 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 Ph: (425) 773-1881

Reviews and Comments

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Ebrima S Fatajo, DNP - Medicare Nurse Practitioner in Seattle, WA